Normal life crises and insanity—mental illness contextualised

Ingvarsdotter, Karin; Johnsdotter, Sara; Östman, Margareta

doi:10.1080/13691457.2010.545771

Cited by 3 publications

(2 citation statements)

References 39 publications

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“…This was probably because non‐native speakers, in spite of a greater risk of mental health problems, had consulted such professionals less than native Swedish speakers had. A higher threshold for seeking psychiatric health care has also been found in immigrants in an interview study of a similar population (24).…”

Section: Discussionmentioning

confidence: 60%

Mental health status in pregnancy among native and non‐native Swedish‐speaking women: a Bidens study

Wangel

Schei

Ryding

et al. 2012

Acta Obstet Gynecol Scand

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Objectives. To describe mental health status in native and non‐native Swedish‐speaking pregnant women and explore risk factors of depression and posttraumatic stress (PTS) symptoms. Design and setting. A cross‐sectional questionnaire study was conducted at midwife‐based antenatal clinics in Southern Sweden. Sample. A non‐selected group of women in mid‐pregnancy. Methods. Participants completed a questionnaire covering background characteristics, social support, life events, mental health variables and the short Edinburgh Depression Scale. Main outcome measures. Depressive symptoms during the past week and PTS symptoms during the past year. Results. Out of 1003 women, 21.4% reported another language than Swedish as their mother tongue and were defined as non‐native. These women were more likely to be younger, have fewer years of education, potential financial problems, and lack of social support. More non‐native speakers self‐reported depressive, PTS, anxiety and, psychosomatic symptoms, and fewer had had consultations with a psychiatrist or psychologist. Of all women, 13.8% had depressive symptoms defined by Edinburgh Depression Scale 7 or above. Non‐native status was associated with statistically increased risks of depressive symptoms and having ≥1 PTS symptom compared with native‐speaking women. Multivariate modeling including all selected factors resulted in adjusted odds ratios for depressive symptoms of 1.75 (95% confidence interval: 1.11–2.76) and of 1.56 (95% confidence interval: 1.10–2.34) for PTS symptoms in non‐native Swedish speakers. Conclusion. Non‐native Swedish‐speaking women had a more unfavorable mental health status than native speakers. In spite of this, non‐native speaking women had sought less mental health care.

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Section: Discussionmentioning

confidence: 60%

Mental health status in pregnancy among native and non‐native Swedish‐speaking women: a Bidens study

Wangel

Schei

Ryding

et al. 2012

Acta Obstet Gynecol Scand

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“…Finally, it may support wider ranging diagnostic conversations in the consultation, importantly including a domain often endorsed by patients when conceptualising their own symptoms, for example, distress/stress without depression. 19 , 20 …”

Section: Introductionmentioning

confidence: 99%

Distinguishing emotional distress from mental disorder in primary care: a qualitative exploration of the Four-Dimensional Symptom Questionnaire

Geraghty,

Holt,

Chew-Graham

et al. 2024

Br J Gen Pract

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Background: Primary care clinicians see people experiencing the full range of mental health problems. Determining when symptoms reflect disorder is complex. The Four-Dimensional Symptom Questionnaire (4DSQ) uniquely distinguishes general distress from depressive and anxiety disorders. It may support diagnostic conversations and targeting of treatment. Aim: We aimed to explore peoples’ experiences of completing the 4DSQ and their perceptions of their resulting score profile across distress, depression, anxiety and physical symptoms. Design and Setting: A qualitative study conducted in the UK with people recruited from primary care and community settings. Method: Participants completed the 4DSQ then took part in semi-structured telephone interviews. They were interviewed about their experience of completing the 4DSQ, their perceptions of their scores across four dimensions, and the perceived utility if used with a clinician. Interviews were transcribed verbatim and data were analysed thematically. Results: Twenty-four interviews were conducted. Most participants found the 4DSQ easy to complete and reported that scores across the four dimensions aligned well with their symptom experience. Distinct scores for distress, depression and anxiety appeared to support improved self-understanding. Some valued the opportunity to discuss their scores and provide relevant context. Many felt the use of the 4DSQ with clinicians would be helpful and likely to support treatment decisions, although some were concerned about time-limited consultations. Conclusion: Distinguishing general distress from depressive and anxiety disorders aligned well with people’s experience of symptoms. Use of the 4DSQ as part of mental health consultations may support targeting of treatment and personalisation of care.

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Emotional, physical, and sexual abuse and the association with symptoms of depression and posttraumatic stress in a multi-ethnic pregnant population in southern Sweden

Wangel

Ryding

Schei

et al. 2016

Sexual & Reproductive Healthcare

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Results Of 1003 women, 78.6% were native and 21.4% were non-native Swedish-speakers.Native and non-native Swedish-speakers experienced a similar proportion of lifetime abuse.Moderate emotional and physical abuse in childhood was significantly more common among non-native Swedish-speakers. While sexual abuse in adulthood was significantly more prevalent among native Swedish-speakers. Emotional and sexual abuse were significantly associated with symptoms of depression for both natives and non-natives. Physical abuse was significantly associated with symptoms of depression for non-natives only. All types of abuse were significantly associated with symptoms of PTS for both native and non-native Swedishspeakers. Adding ethnicity to the multiple binary regression analyses did not really alter the association between the different types of abuse and symptoms of depression and PTS. ConclusionThe prevalence of lifetime abuse did not differ significantly for native and nonnative Swedish-speakers but there were significant differences on a more detailed level.Abuse was associated with symptoms of depression and PTS. Being a non-native Swedishspeaker did not influence the association much.

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Normal life crises and insanity—mental illness contextualised

Cited by 3 publications

References 39 publications

Mental health status in pregnancy among native and non‐native Swedish‐speaking women: a Bidens study

Mental health status in pregnancy among native and non‐native Swedish‐speaking women: a Bidens study

Distinguishing emotional distress from mental disorder in primary care: a qualitative exploration of the Four-Dimensional Symptom Questionnaire

Emotional, physical, and sexual abuse and the association with symptoms of depression and posttraumatic stress in a multi-ethnic pregnant population in southern Sweden

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